Interdisciplinary Toxicology · 2012 · 14 citations · 15 references
MedicinePharmacologyPsychiatryMaternal-fetal MedicineNeuropharmacologyPsychopharmacologyAntidepressant PharmacologyDevelopmental NeuropharmacologyPerinatal PharmacologyPregnancy PharmacologyPrenatal DevelopmentReproductive PharmacologyAntidepressant EfficacyAntidepressant Use In PregnancyExperimental StudiesPharmacotherapy During PregnancyPharmacotherapy In PregnancyPilot Study DesignPrenatal NeuropharmacologySelective Serotonin Reuptake Inhibitor Treatment
About 3% of pregnant women are treated with antidepressant drugs during gestation. After delivery the number of treated women increases to 5 to 7%. Most prescribed antidepressants in pregnancy are selective serotonin re-uptake inhibitors and/or serotonin and noradrenaline re-uptake inhibitors, such as fluoxetine, paroxetine, sertraline, citalopram and venlafaxine (VENF). Despite the fact that VENF has been assigned to pregnancy category C by the FDA, experimental studies with this drug are rare. The aim of this pilot study was to investigate the effect of prenatal administration of VENF on early postnatal development of rat offspring and selected biochemical variables at weaning of pups. Pregnant female Wistar rats were treated with VENF from day 15 to 20 of gestation at the doses of 7.5, 37.5 and 70 mg/kg. Females were allowed to spontaneously deliver their pups. After delivery the pups were inspected for viability, gross malformation and they were weighed on day 0, 4 and 21 post partum. On day 21 post partum, the pups were killed, brains were removed from the skulls and blood samples were collected for biochemical assay (proteins, glucose-GOD, glucose-HEX, lactate dehydrogenase, aspartate aminotransferase, alanine aminotransferase and total antioxidant status). The study showed that prenatal VENF administration resulted in a mild maternal intoxication manifested by decreased body weight gain of pregnant females. There was no effect of the drug tested on the body and brain weights of offspring. No obvious morphological alterations were observed in the delivered pups. Similarly, there were no changes in the selected biochemical variables determined.
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Cohort study of depressed mood during pregnancy and after childbirth
Jonathan Evans, Jon Heron, H. Francomb et al. · BMJ · 2001 · 1.3K citations · Full text
Depressive Disorders During Pregnancy
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Placental Transfer of SSRI and SNRI Antidepressants and Effects on the Neonate
Jonathan Rampono, Karen Simmer, K F Ilett et al. · Pharmacopsychiatry · 2009 · 255 citations
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